Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.44 / $5,063.00 / $7,421.00	Facility		$1,610.44	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.88 / $1,215.34 / $2,668.97	Professional		$991.88	$1,215.34	$2,668.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.52 / $1,577.85 / $2,854.73	Professional		$1,086.52	$1,577.85	$2,854.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,925.61 / $2,265.42 / $3,147.57	Facility		$1,925.61	$2,265.42	$3,147.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,249.94 / $2,500.00	Facility		$500.00	$1,249.94	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.24 / $1,739.96 / $2,817.52	Professional		$1,170.24	$1,739.96	$2,817.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,208.33 / $1,743.30 / $2,722.96	Professional		$1,208.33	$1,743.30	$2,722.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,941.97 / $1,941.97 / $1,977.28	Professional		$1,941.97	$1,941.97	$1,977.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.30 / $1,477.25 / $2,504.28	Professional		$952.30	$1,477.25	$2,504.28